儿科留置PICC管发生静脉炎的相关因素分析  

Analysis on related factors of catheter-related phlebitis in pediatric patients with PICC

作　　者：陆碧梅[1] 谢巧庆[1] 吴昭怡[1] 梁海华[1] 

机构地区：[1]中山大学附属第一医院儿科,广州510080

出　　处：《临床护理杂志》2007年第5期16-17,共2页Journal of Clinical Nursing

摘　　要：目的本文对儿科留置外周中心静脉置管(PICC)发生静脉炎的相关因素进行分析,以实施护理干预,减少静脉炎发生。方法对儿科157例PICC管发生静脉炎的原因进行回顾性分析,采取相应的护理措施。结果本组发生静脉炎18例,患儿年龄、导管型号、穿刺次数、剧烈运动史及置管时间等与静脉炎的发生有相关性。结论提高穿刺技巧、避免剧烈运动、选用相对血管小的型号管进行置管,能有效预防和减少静脉炎的发生,提高置管质量,延长置管时间。Objective To explore the risk factors of catheter-related phlebitis in pediatric patients with peripherally inserted central catheter （PICC） placement and the correspondent nursing interventions. Methods Clinical data of 157 cases with PICC in the Department of Pediatrics were retrospectively reviewed. Possible risk factors were analyzed. Results Of the 157 cases, eighteen were diagnosed with catheter-related phlebitis. Statistical analysis indicated that five factors, including patient age, catheter type, times of puncture, violent exercise and catheter placement duration were related with the incidence of catheter-related phlebitis. Conclusions Improvement of puncture skill, avoidance of violent exercise, and selection of catheters with relatively small radius could effectively prevent the occurrence and lower the incidence of PICC related phlebitis, and prolong the PICC placement duration.

关 键 词：导管 留置/副作用 静脉炎/病因学 

分 类 号：R452[医药卫生—治疗学] R543.6[医药卫生—临床医学]